Provider Demographics
NPI:1639334238
Name:OUACHITA HOME CARE, LLC
Entity Type:Organization
Organization Name:OUACHITA HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RONITA
Authorized Official - Middle Name:J
Authorized Official - Last Name:CALHOUN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:318-537-0740
Mailing Address - Street 1:806A N 31ST ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-3945
Mailing Address - Country:US
Mailing Address - Phone:318-325-8004
Mailing Address - Fax:318-325-8060
Practice Address - Street 1:806A N 31ST ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-3945
Practice Address - Country:US
Practice Address - Phone:318-325-8004
Practice Address - Fax:318-325-8060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA14018311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home